Azich, Mimi
Azich, Mimi is an sole proprietor health care provider with primary practice located at 12085 Perry Hwy , Wexford PA 15090-8394. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Azich, Mimi can be contacted via phone (724) 940-2244.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MSG001617 | Pennsylvania |
Profile Details
| NPI number | 1558903773 |
|---|---|
| LBN Legal business name | Azich, Mimi |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2019 |
| Last updated | Oct 9th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558903773 | NPPES |
| Other | 0160OK36 | ELEMENTS MASSAGE - WEXFORD | |
| Other | 0160OK36 | ELEMENTS MASSAGE - WEXFORD |
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